NPI | 1861657694 |
---|---|
Former Name | KRISTIN ANN KOMOROWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1350) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98703) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2022-05-04 |